She came in smartly dressed, probably in her late 20′s or early 30′s. She had a prescription for an antibiotic and 30 Percocet. After I collected all the appropriate information, her cell phone rang and it was her mother…( since she referred to her as “mom” I assume I have the correct person).
Her call went as follows: ” hey mom, whats up?…..no, I’m not at work I am at the pharmacy, I had a sore throat so I went to the doctor and he gave me some antibiotics and something for my throat…..nah, its not big deal, I’ll still be there tonight..what does it start?? Sure, I’ll pick you up at 6 ok?” click.
I looked at her profile, and not much stood out. Birth control, some allergy meds that dated back awhile, and a cough syrup last November. Nothing to speak of.
I looked down at my rx…Percocet 5/325 #30. Has it come to be so commonplace to us that we prescribe powerful pain medications for sore throats? That will probably be gone in 24 hours once the antibiotics kick in?? It didn’t seem all that long ago that childbirth may have gotten you some Tylenol 3. All your wisdom teeth extracted may have gotten you a dozen Percocet.
My narc cabinet is full of stuff…way more stuff than I used to need. I sent 2-3 222 blanks full of orders each week, whereas I used to order a couple of times per month. What is the rationale? Is it justified? Is it overkill?
And please, no comments from chronic pain patients crawling on their soap box trashing me and my profession. This isn’t about you.
I am quite used to this urgent care clinic’s prescribing practices. They have two docs: one that happily hands out percocet for everything and one that writes magic mouthwash instead.
Personally, I think its a bit much. I could think of some appropriate alternatives.
Just a monday observation…back to the grindstone tomorrow!